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Progressive Eye Care, LLC

NPI 1922282599ActiveOrganization· Optometrist· South Jordan, UT

Optometrist in South Jordan, Utah, registered in NPPES in December 2007. The authorized official on file is Jeffrey L. Broadhead, OD, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1922282599
StatusActive
Entity typeOrganization
NPI issuedDec 19, 2007
Last updated in NPPESDec 21, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X4826018-9934UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

Other Optometrist providers in South Jordan

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